Page 133 - ترم ثاني كتاب تمريض صحة الام الكتروني
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- Other investigation according to the case
II) Return Ante partum Visit
- The patient is asked about any complaint
- Blood pressure and weight are recorded
- Abdominal examination and edema of lower limbs
- Urine is tested for albumin and sugar
- Pelvic examination at the 36th week is estimate the pelvic capacity and
test for cephalopelvic disproportion
A. Schedule for return visits
1. 1 to 28 weeks gestation: every 4 weeks
2. 28 to 36 weeks' gestation: every 2 weeks
3. 36 weeks gestation until term : every week
4. If the patient is allowed to go past 40 weeks, see her twice a week with
appropriate testing
B. Teaching and counseling
1. Provide opportunity for patient to discuss questions concerns and need.
2. Review checklist for topics to be discussed and procedures to be done at the
appropriate weeks of gestation.
3. Provide individualized health instruction, counselling, and guidance.
4. Review recent laboratory reports.
5. provide relief for minor discomforts or physical complaints.
6. Refer patient other needed services
a) Dietitian
b) Dentist
c) Social services
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